PLACEBO VENTURES LLC NPI 1245559012

NPI Information

  • NPI: 1245559012
  • Provider Name: PLACEBO VENTURES, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5715 E 2ND ST
    CASPER, WY
    ZIP 82609
  • Phone: (307) 265-0005

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NPI Details

PLACEBO VENTURES, LLC is a family medicine in Casper, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PLACEBO VENTURES, LLC NPI is 1245559012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5715 E 2ND ST
CASPER, WY
ZIP 82609-322
Phone: (307) 265-0005

The provider's authorized official is Joseph Edward Mickelson .
The authorized official title is President and has the following contact phone number (307) 265-0947.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 8/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1315272OTHERWYOMINGBLUE CROSS/BLUE SHIELD
2110845000MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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